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When Internal Jugular Vein Surgery Goes Wrong: A Case of Misdiagnosed CCI In this eye-opening case, Dr. Centeno shares the story of a patient who went through multiple invasive procedures—including styloidectomy, C1 shaving, and two jugular vein stents—to treat suspected internal jugular vein (IJV) compression. Despite aggressive interventions, his symptoms persisted... until the real cause—craniocervical instability (CCI)—was discovered. What You’ll Learn in This Video: 🔹Why diagnosing IJV compression too early can be a clinical trap 🔹The risks of styloid removal and jugular stenting 🔹How CCI was the actual root cause of the patient's neurological symptoms 🔹How PICL (Percutaneous Implantation of the Craniocervical Ligaments) led to significant improvements 🔹The critical need to evaluate structural instability before opting for vascular procedures This patient’s journey is a powerful reminder to explore all possible root causes before undergoing invasive treatments. Dr. Centeno is a leader in interventional orthobiologics and practices at the Centeno-Schultz Clinic, the headquarters of the Regenexx network. 🔔 If you find this content helpful, please like, comment, and subscribe to stay informed. / @centenohome To schedule a telemedicine or in-person visit, call +1-303-429-6448 or email us at [email protected]. Dr. Centeno also answers questions on his Reddit thread at / picl Join him for weekly Facebook Lives at / centenoschultzclinic to learn more. Download Dr Centeno's book on craniocervical instability at https://centenoschultz.com/craniocerv... Join CCI Communities: PICL SubReddit: https://www.reddit.com/r/PICL/?rdt=58942 PICL Facebook Group: / ccjpicl Follow us for updates and news: Website: https://centenoschultz.com/ https://regenexx.com/ Facebook: / centenoschultzclinic Instagram: / centenoschultzclinic LinkedIn: / chris-centeno-m-d-b6838024 Centeno-Schultz Clinic 403 Summit Blvd Suite 201 Broomfield, CO 80021 303-429-6448 Key Timestamps: 00:00 – Introduction to the Case of Misdiagnosed IJV Compression 00:21 – Extreme Symptoms Triggered by Atlas Misalignment 00:44 – CT Venogram, Eagle Syndrome Diagnosis & Styloidectomy 01:22 – Jugular Stent Placement: First and Second Attempts 01:52 – Real Diagnosis: Craniocervical Instability (CCI) 02:06 – Patient Outcome After Two PICL Procedures 02:42 – Why Focusing on IJV Compression Was a Clinical Misstep